A facility failed to provide consistent, individualized activity programming for several residents. Surveyors observed long periods with no activities, limited weekend and morning programming, and repeated reliance on a few group events such as BINGO and coffee chat. Residents reported boredom, missed activities, lack of variety, no outings, and little to no in-room engagement, while staff confirmed staffing shortages and that the ADON/Activity Director was often running activities alone.
Surveyors found that the facility failed to provide a varied, resident-centered activity program, relying heavily on repetitive schedules, TV viewing, and faith-based activities with no offerings later in the day. The posted activity calendar was outdated and partially updated, and a scheduled craft activity did not occur. Multiple residents reported boredom, lack of non-spiritual activities on Sundays, canceled or unfulfilled events such as karaoke, and no community outings despite interest. One resident who wished to participate in cards, current events, nail care, and getting out of bed had no documented activities for a month aside from a few room visits. Staff oversight was limited, with the administrator acknowledging the program did not engage residents and the corporate activity coordinator confirming inconsistent implementation and awareness of days with no activities.
Failure to provide life enrichment activities and care plan interventions for two residents. One resident with aphasia, mood disorder, and stroke was repeatedly observed in bed without activity support, despite documented preferences for TV and in-room activities and no life enrichment care plan. Another resident with head injury, dementia, and psychotic disturbance had documented interests in sports, golf, TV, movies, news, and pet visits, but activity notes showed no activities provided since admission.
Surveyors found that the facility did not consistently provide meaningful, person-centered activities as posted on the activity calendar. Two residents reported that scheduled activities such as BINGO and brain games, especially on weekends, were frequently missed or started very late, that music did not match their preferences, that room visits were not occurring, and that they were often not included in community outings. Observations confirmed that a scheduled BINGO session did not begin at the posted time, leaving residents waiting without explanation, and that some weekend and Sunday activities were not occurring despite being listed. Activity logs showed gaps in documented activities, no refusals, and minimal Sunday programming, while the Activity Director acknowledged late and missed activities and difficulty covering simultaneous activities on multiple floors with limited staff.
Failure to provide meaningful resident activities: Residents with dementia, blindness, mobility limits, and intact cognition were observed sitting idle in halls and common areas with little engagement, while unit calendars listed only a few activities or staff visits. A resident with dementia on a secured unit was repeatedly seen asleep or staring blankly with no staff attempts to engage him, a legally blind resident reported he could no longer participate in Bingo without help and had no assistance with books on tape, and other residents stated they were locked down, had limited activities, and were just sitting and staring at each other. Records showed minimal or no group participation and incomplete documentation of one-on-one or independent activities.
Failure to Provide Meaningful Resident Activities: Several residents with varying cognitive and physical needs were observed without meaningful activity options, including residents left with only TV or no leisure items in their rooms, a resident not taken to bingo, and residents on one unit unable to use a lounge area unless staff were present. The AD and unit staff stated there were no evening or weekend activities, limited one-on-one visits, and activity documentation and care plans were incomplete or outdated, despite residents’ documented preferences for bingo, conversation, music, pets, and other engagement.
No Ongoing Resident-Centered Activities Program: The facility had no Activity Director or activity staff, no activity calendar, no resident council meetings, and no documented group or individualized activities. Several residents with varying diagnoses and cognitive/physical needs stated they were bored or had nothing to do, while staff reported CNAs were not providing activities and residents were mostly left watching TV, sitting in hallways, or staying in bed. Records showed no activity assessments, logs, participation documentation, or activity care plans for the residents reviewed.
A resident with TBI and a persistent vegetative state was not regularly up in a Broda chair or attending activities despite documented preferences for sports, jazz music, animals, and group activities. Observations showed the resident remained in bed while the Broda chair went unused, with no music, TV, or other entertainment in the room, and staff said the resident rarely attended activities and was usually only up for church or a shower day. The AD reported limited staffing and the activity log showed only eight activities over the prior 30 days.
Failure to Provide Resident-Centered Activities: The facility did not provide individualized activity programming to meet the leisure needs of three residents with dementia, stroke, aphasia, and depression. Observations showed residents sitting with eyes closed or alone in rooms, with little meaningful participation in scheduled activities. One resident reported boredom and concern that the lack of activity could worsen depression, while staff acknowledged limited evaluation of leisure needs and inconsistent 1:1 activity support.
Failure to provide meaningful activities for a resident with severe cognitive impairment. The resident, who had Alzheimer’s disease and non-Alzheimer’s dementia, was repeatedly observed sitting alone in her room with no TV, music, lights, or sensory items, and no staff interaction. The resident’s care plan and activity evaluation identified a need for staff-supported cognitive stimulation and preferred activities such as music, TV, and sensory activities, but a CNA and LPN reported she was not offered activities and activity staff were not seen providing room-based activities.
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